WQ0012796_Monitoring - 10-2016_20161122

• ----;-FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDIVILR) Page __q_ Of
Permit No.: WQ0012796
Facility Name: Lakeview Packing Company County: Greene Month'-Odobu,_
yea,�o ( P
Field Name:
1
@
Field Name: 3
Field Name:
Area (acres):
1.26
Area (acres): 1.21
Area (acres):3.61
Cover Crop:
Cover Crop:
Cover Crop.
L?ej,
Load Type:
PAN
Load Type: PAN
Type:
PAN
r,YLoad
Field Loaded?
[3 UNNO
Field Loaded? 0 @"No
laid Loaded?
0 yes Q<b
yEs
YEs
z
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ix
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z
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0
Month
gal mgfL
lbs/ac lbs/ac
VnU
in
41
C_
1,9hl
P, I... t -Y
Q
u.
12 Month Floating PAN Load
(lbelaclyr):
Annual

FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page c of
Permit No.: WQ0012796
FacIllty-Name: Lakeview Packing Company
County: Greene
Monthlo Year6lo/A.
Field Name:
6
Field Name:
8
Field Name:
Area
1.11
Area
1.47
Area (acme):
(acres):
(acres):
Cover Crop:
aI
Cover Crop:
Cover Crop:
ek
Load Type:
PAN
Load Type:
PAN
Load Type:
Field Loaded?
0
Field Loaded?
❑ Mi(o'
J.
Field Loads d? 0 YES ONo
YES 2<0
...... ....
YES
Q 0
Z C
0
z
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CL
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rrx
MOP'
'd
U L
L
lbs/ac, lbs/ac
mg/L lbelac lbs/ac
Month
gal
mg/L
lbelac lbstac
gal mat
gal
31
1VD
f 6
0
L
1q
✓
AQ
ID
. ....... 1,
0;41
i"�, vl,,,,,,,1,,,
T',
12 Month Floating PAN Load
(lbs/aclyr):
Annual PAN Load Limit
(lbs/ac/yr):

'FbRM: NDMLR 08-11
NON -DISCHARGE MASS LOADING REPORT (NDMLR)
Did the mass loading rates exceed the limits in Attachment B of your permit?
Page __L__, of e
L'1tTCompliant ❑ Non-Compliant'
If the facility is non-compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date($) of the non-compliance and describe the corrective
taKen. Attacn aaaltional snests it necessary.
Mail Original and Two Copies to:
Division of Water Quality
�\ Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: J a DPermittee:
�rtia
1/4A 0- us a 4.j4 J." i a►q � D
Certification Number:
919705
/
Signing Official: �a e D� /V,* ..
Grade: %V��,7I
Phone Number:a5•sj�q- 00
Signing Official's Title: e,ti,
Has the ORC changed
since the previous NDMLR? ❑Yes 12<o
Phone No.: .25' .2-.55 9rQ18C)1q Permit Exp.: 3 -3
Sign ture Date
Signature Date
By this
signature, I certify that this report Is accurrale and complete to the best of my knowledge.
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that all qualified personnel property gathered and evaluated the
Information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the Information, the Information submitted Is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false Information, Including the
possibility of fines and Imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
�\ Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617